Adult Volunteer Application
CONFIDENTIALITY POLICY: The primary purpose of Safe Haven is to provide protection and safety to victims and the children of victims. The use or disclosure of any information by anyone affiliated with Safe Haven (staff, volunteers, board members) that concerns the victims or the children of victims who receive services from Safe Haven for any purpose is prohibited by state law. It is, therefore, a policy of Safe Haven that any agent of Safe Haven (staff, volunteers, board members) will treat all contacts and information regarding victims and children of victims who receive services from Safe Haven as confidential. No information regarding service recipients will be divulged either directly or indirectly to anyone. This includes:
- Safe Haven may not contact the perpetrator nor may they require that the victim contact the perpetrator.
- Safe Haven may not reveal the victims or the victim’s children’s whereabouts, or require the victim to reveal such whereabouts.
- Files and all written documents regarding victims and the children of victims are to be maintained in a confidential manner.
- Victims will be informed of their rights to confidentiality during the intake process.
- Staff, volunteers, and board members are still bound by this condition of confidentiality upon completion of employment, volunteer commitment or board term once this form is signed.
CONFIDENTIALITY PLEDGE AND AGREEMENTS: By clicking the submit button:
- I hereby affirm that I have read the above policy and do fully realize the importance of maintaining confidentiality. I understand that there is a state law prohibiting disclosure (section i, 895.67.) I agree to abide by this policy.
- I hereby authorize Safe Haven to contact the above references to determine if I can become a volunteer.
- I give permission to Safe Haven to perform a criminal background check in order to determine if I can become a volunteer.
- The information that I submitted on this application is true and correct to the best of my knowledge.